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RecruitingNCT06487585Updated Dec 22, 2025

ANG-First Trial (Angiotensin II as First-Line Vasopressor Therapy in Cardiac Surgery)

A Phase 4 interventional study of Angiotensin II in Vasodilatory Hypotension During or After Cardiac Surgery, sponsored by University of Maryland St. Joseph Medical Center. Recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-22.

Sponsored by University of Maryland St. Joseph Medical Center · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2026, 10 months ago, but the record still lists the study as recruiting.
  • Started May 2025; still recruiting 1 year 6 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this research is to evaluate the use of Angiotensin II in patients with low blood pressure post-surgery. Your information will be collected for 28 days post the procedure and initiation of the study drug to assess for safety events and complications.

02

Conditions studied

  • Vasodilatory Hypotension During or After Cardiac Surgery

Keywords

  • Vasodilation
  • Hypotension
  • Cardiopulmonary Bypass
  • Cardiac Surgery
03

In context

Aneurysm

381 studies on the registry are indexed under Aneurysm; 78 are open to participants now.

This study's planned enrollment of 100 is above the median of 46 across 235 interventional studies indexed under Aneurysm.

Browse Aneurysm studies →

Lead sponsor

University of Maryland St. Joseph Medical Center is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult patients ≥ 18 years of age undergoing cardiac surgery requiring CPB
  • Patients must have clinical features of vasodilation as determined by a MAP \< 65 mmHg that is non-transient in the opinion of the treating physician
  • Patients must be adequately volume resuscitated in the opinion of the treating physician
  • Systemic Vascular Resistance index (SVRi) \< 1970 dynes·sec/cm⁵/m² to support the clinical diagnosis of vasodilation; if no pulmonary artery catheter is in place, vasodilatory hypotension diagnosis according to the judgement of the critical care team
  • Biventricular systolic function is at or greater than pre-cardiopulmonary bypass baseline as demonstrated by echocardiographic evaluation, or the patient is concomitantly treated with

Exclusion criteria

Exclusion Criteria:

  • Bleeding as primary etiology of hypotension, as determined by > 4 units RBC transfusion in 24 hours.
  • Patients on ECMO
  • Patients with active endocarditis
  • Patients already on renal replacement therapy or creatinine of > 4 mg/dl within 2 weeks of surgery
  • Patients with to Angiotensin II including women who are pregnant or breastfeeding or have active coronary ischemia, mesenteric ischemia, limb ischemia, or high potassium (> 5.5 meq/L) while receiving Angiotensin II
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Other
    Study Drug Arm - Angiotensin II arm

    Angiotensin II

    Drug: Angiotensin II

Interventions

  • Angiotensin II: Starting dose of 2.5 ng/kg/min administered IV; may dose escalate up to 80 ng/kg/min in order to achieve a MAP of 65 mmHg or higher in the first 3 hours. After 3 hours, may escalate dose up to 40 ng/kg/min in order to achieve a MAP of 65 mmHg. Dose titration in increments of 10 ng/kg/min every 2 minutes.

06

What researchers measure

Primary outcomes

  1. Incidence of postoperative acute kidney injury, atrial fibrillation

    The primary endpoint will be measured by comparing the incidence of new-onset atrial fibrillation or acute kidney injury

    Time frame: 28 days

Secondary outcomes

  1. Hours on Vasopressors

    Time frame: 28 days

  2. Total IVF

    Time frame: 28 days

  3. ICU LOS

    Time frame: 28 days

  4. Postoperative LOS

    Time frame: 28 days

  5. Any major STS complication

    Time frame: 28 days

  6. 30-day mortality

    Time frame: 30 days

  7. Cost

    Time frame: 28 days

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06487585
Lead sponsor
University of Maryland St. Joseph Medical Center
Collaborators
La Jolla Pharmaceutical Company
Responsible party
Sponsor
First posted
Jul 5, 2024
Start date
May 6, 2025
Primary completion
Jan 2026 (estimated)
Completion
Feb 2026 (estimated)
Last update
Dec 22, 2025

Study contacts

Aja Janyavula
Contact
ajanyavula@umm.edu
410-427-5459
Sam Rudow
Contact
samuel.rudow@umm.edu
410-427-5459

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Angiotensin II

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